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P r e s e n t a t i o n p r e p a r e d b y C D R T o u r e , L C D R D e g r a n g e , L T P i e r c y
E l i z a b e t h I r v i n - B a r n w e l l L C D R , U S P H S
C o m m u n i t y S t u d i e s T e a m L e a d A g e n c y f o r T o x i c S u b s t a n c e s a n d D i s e a s e R e g i s t r y , C e n t e r s f o r D i s e a s e
C o n t r o l a n d P r e v e n t i o n │ A t l a n t a , G A
S C I E N T I S T P R O F E S S I O N A L A D V I S O R Y C O M M I T T E E ( S C I P A C ) 7 J U N E 2 0 1 6
What Officers Need to Know About the Annual Physical Fitness Test
1
Key Information
All officers must do the APFT yearly to maintain the physical fitness basic readiness requirement
The revised APFT became effective 1 January 2016
It is important for officers to start training in advance of the expiration of their APFT to ensure they can meet the new standards.
Officers who are unable to do a category of exercises (e.g., cardiorespiratory endurance) due to a medical limitation can request a medical waiver for that component and will complete the rest of the APFT
2
APFT Working Group Goals
NAME CATEGORY RADM Sarah Linde Physician
CAPT Bart Drinkard Therapist
CAPT Scott Gaustad Therapist
CAPT Bernard Parker Physician
CAPT Richard Troiano Scientist
CDR Dan Brum Pharmacist
CDR Juliette Touré Pharmacist
LCDR Elizabeth DeGrange HSO
LT Katrina Piercy (lead) Dietitian
Review, evaluate, and recommend a revised evidence‐based physical readiness standard Existing policy and
practices Other uniformed service
standards Scientific evidence
Background 3
Why Should Everyone do the APFT?
Condition of service to be basic ready
Support Corps missions and activities required while on deployment
Accountability
Parity with services and across Corps
Promote and model a healthy lifestyle
4
Advantages of the APFT
1. NEW exercise options
2. EVIDENCE-BASED standards based on current science
3. MORE age bands in 5 year increments up to age 65+
4. FLEXIBLE options for documenting APFT
5. PARITY with other services for scoring
6. RECOGNITION for high achievement
5
Former APFT vs. Current APFT
PHYSICAL FITNESS COMPONENT
FORMER APFT EXERCISES
CURRENT APFT EXERCISES
Cardiorespiratory Endurance
Run - 1.5 mi Swim - 450 m/500 yd
Run - 1.5 mi Swim - 450 m/500 yd
Elliptical – 12 min
Stationary Bike – 12 min
Upper Body Endurance Push-ups - 2 min Push-ups - 2 min
Core Endurance Side-bridge Sit-ups - 2 min
Plank
Side-bridge Sit-ups - 2 min
Flexibility None Seated Toe Touch
6
NEW Exercise Options
Cardiorespiratory Endurance: Elliptical and stationary bike Currently used by Navy and Army Calculation based on 12 minutes of exercise
Core Endurance: Plank Valid, safe measure of core endurance with less pressure on elbow and
shoulder vs. side bridge No other uniformed service doing this exercise
Flexibility: Seated toe touch Increased flexibility can prevent injury No equipment required
7
Approved Elliptical Machines
Approved Elliptical Machines Offset Value
LifeFitness 91X / Classic Series (CLSX) -1.585
LifeFitness 91Xi -1.585 LifeFitness 95Xi (Quiet Drive Version Only) -20.743
LifeFitness 95X (Model may be Inspire or Engage) 22.980
LifeFitness CT 9500 -32.947
LifeFitness CT 9500 HR -32.947
Nautilus (Model E9 16) -12.855
Precor EFX-556NAVY / EFX-556iNAVY -24.322
Precor EFX-556i 5.769
Precor EFX-576i / EFX-835 5.769
Technogym Excite Synchro 700 (Series) -22.502
8
Approved Stationary Bikes
Approved Stationary Bikes Offset Values
Life Fitness 95Ci 0
Life Fitness 95CiXXL 0
Life Fitness Classic Series (CLSC) 0
Finding the approved machine list: CCMIS website (dcp.psc.gov/ccmis) Readiness
Annual Physical Fitness Test POM and APFT Instructions
9
Rationale for Specific Equipment
Equipment list adopted from the Navy
Machines have been validated and tested to determine offset values
It is not possible to get a waiver to use other types of elliptical machines or stationary bikes
Using other equipment will lead to inaccurate APFT results APFT Advisory Council will monitor Navy’s approved list and
make recommendations to update PHS APFT list
10
EVIDENCE-BASED Standards
COMPONENT EXERCISE OPTION REFERENCE
Cardiorespiratory Endurance
Run* US Navy
Swim US Navy
Elliptical US Navy
Stationary Bike US Navy
Upper Body Endurance Push-ups* US Navy
Core Endurance
Plank* Peterson et al. 2013
Side Bridge US Coast Guard
Sit-ups US Navy
Flexibility Seated Toe Touch* Previous US Navy exercise
*Indicates main APFT Exercise. Exercises without asterisks are APFT alternatives.
11
MORE Age Bands
5 year increments instead of 10 year increments Former APFT: 4 sets of standards by age (20-29, 30-39, 40-
49, 50+) Current APFT: 10 sets of standards by age (20-24, 25-29,
30-34, etc.)
Standards continue to vary for higher age bands Former APFT: highest age is 50 and older Current APFT: highest age is 65 and older
12
FLEXIBLE Options to Document APFT
Options for testing official verification: 1. Another officer (current method) 2. Another officer remotely (via cell phone or computer video) 3. Another federal employee adult non officer
Direct Access has updated input options for the APFT Input email address of person observing APFT for auditing purposes
Form PHS-7044 Retain copy for personal records (no longer send to Medical Affairs)
13
4 Fitness Components 6 Levels for Each Exercise
4 fitness components Cardiorespiratory endurance
(4 exercise options) Upper body endurance
(1 exercise) Core endurance
(3 exercise options) Flexibility (1 exercise)
Scored as satisfactory/ unsatisfactory
Maximum = 100 points
Outstanding = 90 points
Excellent = 75 points
Good = 60
Satisfactory = 45 points
Failure = <45 points
PARITY with other Services with Scoring 14
Overall Score Average of 3 Exercises = Overall Score
• Average of 3 components (cardiorespiratory, upper body, core endurance) • Must pass ALL components to
pass APFT • Seated toe touch
• Satisfactory: doesn’t change APFT level
• Unsatisfactory: lowers APFT by one level
• Encourages officers to do their best on each exercise
Maximum: 100 points
Outstanding: 90-99 points
Excellent: 75-89 points
Good: 60-74 points
Satisfactory: 45-59 points
Failure: <45 points
Scoring System
Field Medical Readiness Badge (FMRB) level: Excellent
15
Scoring Examples
EXERCISE SCORE POINTS
Run Outstanding 90
Push-ups Good 60
Plank Excellent 75
Toe touch Satisfactory N/A
EXERCISE SCORE POINTS
Elliptical Satisfactory 45
Push-ups Satisfactory 45
Side Bridge Satisfactory 45
Toe touch Unsatisfactory N/A
Overall APFT score: EXCELLENT
90 + 60 + 75 = 225 225 ÷ 3 = 75 points
o Excellent = 75-89 points
Overall APFT score: FAILURE
45 + 45 + 45 = 135 135 ÷ 3 = 45 points
o Satisfactory = 45-59 points The overall score is one level lower
due to the unsatisfactory score on the seated toe touch
16
Scoring Walk Through
Example: 44 year old male
Run: 13:42 seconds Push-ups: 42 Plank: 135 seconds Seated Toe Touch: Satisfactory
17
How to Determine Score
Example: 44 year old male
Run: 13:42 seconds Push-ups: 42 Plank: 135 seconds Seated Toe Touch: Satisfactory
Overall APFT score: GOOD
60 + 60 + 75 = 195 195 ÷ 3 = 65 points
Good = 60-74 points
EXERCISE SCORE POINTS
Run Good 60
Push-ups Good 60
Plank Excellent 75
Toe touch Satisfactory N/A
18
How to Fill Out PHS-7044
Complete Required Sections I – Officer Information III – Annual Physical Fitness
Test (Categories A, B, C, D) IV – Scoringα
V – Verification of Results Optional Section (highlighted) II – Body Mass Index β α Fillable pdf automatically divides by 3 (boxed). β May be required in the future. If using elliptical or stationary bike for cardiorespiratory endurance test, record your weight.
19
How to Enter into Direct Access (DA)
Complete All Sections Exam Date Evaluator
Search by Employee ID, first or last name, then Evaluator fields will auto-populate
If not in DA database, manually enter Evaluator fields
Enter results from PHS 7044 (Category A through D)
Using the drop-down menu, select the type of exercise or “Waived” (if you have a medical waiver for the exercise)
Overall Fitness Level and Scores will auto-populate based on results entered (highlighted)
Most importantly – Click “Save”!
20
How to Get a Medical Waiver
See questions 21-25 in the Frequently Asked Questions Submit medical documentation from health care provider (HCP) for
review and determination of type of waiver. Two types:
Permanent/Long-term – unlikely to improve in the foreseeable future; reviewed periodically
Time-limited – likely to improve within 12 months; has an expiration date (if no date, then will expire at the end of the 3rd month)
Submit to the attention of the Medical Reviewing Official (MRO):
Brief written narrative of the purpose and timeframe of the request HCP should provide a diagnosis, recommended waiver period, and
any additional relevant medical evidence supporting the request
See Medical Affairs website for contact information.
21
How to Calculate Score with Medical Waiver
Example: 44 year old male
Run: 13:42 seconds Push-ups: Waived Plank: 135 seconds Seated Toe Touch: Satisfactory
Overall APFT score: GOOD
60 + 75 = 135 135 ÷ 2 = 67.5 points
Good = 60-74 points
EXERCISE SCORE POINTS
Cardiorespiratory Good 60
Upper Body Waived N/A
Core Excellent 75
Toe touch Satisfactory N/A
22
Medical Waiver – Entering in DA
Submit paperwork for a medical waiver BEFORE doing the APFT
Enter APFT results into Direct Access Select “Waived” for components that have been medically
waived
All medical waivers entered into DA for the APFT will be cross checked by RedDOG for verification
23
Scoring Walk Through Using Elliptical
Example: Age: 44 year old male Weight: 180 pounds Calories burned: 200 Elliptical Model: Nautilus Model E9 16 (p. 14 for approved
machines) Offset value: -12.885 200 + (-12.885) = 187.115 187.115 ÷ 180 = 1.0395 Refer to Table 1 Standards for Males on p. 16 =>
24
Determine APFT Point Value - Elliptical
Table 1 Standards for Males (p. 16) Adjusted value of 1.0395 => Good
PHS-7044 Category A (Cardiorespiratory Endurance) Number of Points => 60 Elliptical/Bike Model => Nautilus Model E9 16
Steps to calculate stationary bike APFT point values are similar, except the offset value is zero.
25
RECOGNITION for High Achievement
Recognize officers for achieving high or increasing levels of physical fitness on the APFT
Three types of recognition (certificate) 1. Increasing level from prior APFT (e.g., Good to Excellent)* 2. Achieving maximum or outstanding level 3. 3 years consecutively achieving maximum or outstanding
level *Recognition applies to those who completed current APFT, not APFTs completed prior to 1 January 2016
26
After some training…
Same officer, after training for a while Increased calories burned to 210 210 + (-12.885) = 197.115 197.115 ÷ 180 = 1.095
OR Weight loss of 8 pounds 200 + (-12.885) = 187.115 197.115 ÷ 172 = 1.088
Table 1 Standard for Males Increased from Good to Excellent!
27
And a little more training…
Officer works on upper body strengthening Can do 60 push-ups = Excellent
Maintains in Plank and Toe Touch
28
EXERCISE SCORE POINTS
Elliptical Excellent 75
Push-ups Excellent 75
Plank Excellent 75
Toe touch Satisfactory N/A
JOAG Readiness & Deployment Workgroup APFT Team
APFT Team Organizes and promotes APFT group events APFT Events calendar:
https://dcp.psc.gov/osg/JOAG/committees_readiness.aspx Contact information: LT Katrina Piercy ([email protected])
and LCDR Deborah Hastings ([email protected])
Officer Health & Fitness Promotion Team Tracking federal fitness facilities which have approved elliptical
machines and stationary bikes Contact information: LCDR Catherine Beer
29
APFT Advisory Council
Transitioned from APFT Working Group
Serve as point of contact with Cross Category Readiness Workgroup and Professional Advisory Committees
Developed plan to support officers who had not done an APFT previously
Stay current on scientific literature and other Uniformed Services’ fitness tests
Make recommendations to senior leadership when necessary
30
Resources Available on CCMIS
CCMIS website: dcp.psc.gov/ccmis Readiness
Annual Physical Fitness Test (APFT) APFT Overview APFT Procedures & Instructions Frequently Asked Questions Updated Form PHS-7044 Policy related: Memos from RADM Giberson and CAPT
Beck on Revised APFT, Manual Circular 337, PPM 04-003, POM
Coming soon: APFT Instructional Video Incentive Program Instructions
31